Individual
TERRESA MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
102 S MAIN ST, SAND SPRINGS, OK 74063-6509
(918) 245-2286
(918) 241-4366
Mailing address
6600 S YALE AVE STE 1400, TULSA, OK 74136-3331
(888) 247-0815
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
6449
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200789970A
—
OK
Enumeration date
04/25/2017
Last updated
08/13/2020
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